NUROFEN FOR CHILDREN
Click on each card below to find out more about Nurofen for Children
1. Hay AD, Costelloe C, Redmond NM, Montgomery AA, Fletcher M, Hollinghurst S, Peters TJ. Paracetamol plus ibuprofen for the treatment of fever in children (PITCH): randomised controlled trial. BMJ 2008;337:a1302
2. https://www.nhs.uk/conditions/fever-in-children/
3. Maria Kelly, Laura J Sahm, France Shiely, Ronan O'Sullivan, Eefje G de Bont, Aoife McGillicuddy, Roisin Herlihy, Darren Dahly, Suzanne McCarthy. Parental knowledge, attitudes and beliefs on fever: a cross-sectional study in Ireland. BMJ Open 2017;7:e015684. doi:10.1136/bmjopen-2016-015684
4. Fever in under 5s: assessment and initial management. NICE guideline NG143. Published: 07 November 2019. Last updated: 26 November 2021
5. Serap Aksoylar, Sadik Aksit, Suat Caglayan, Isin Yaprak, Rahmi Bakileri and Funda Cetin. Evaluation of sponging and anyipyretic medication to reduce body temperature in febrile children. Acta Paediatrica Japonica (1997) 39, 2015-217
6. Autret E, Breart G, Jonville AP, Courcier S, Lassale C, Goehrs JM. Comparative efficacy and tolerance of ibuprofen syrup and acetaminophen syrup in children with pyrexia associated with infectious diseases and treated with antibiotics. Eur J Clin Pharmacol 1994;46(3):197-201
7. Kelley MT, Walson PD, Edge JH, Cox S, Mortensen ME. Pharmacokinetics and pharmacodynamics of ibuprofen isomers and acetaminophen in febrile children. Clin Pharmacol Ther 1992;52(2):181-189
8. Lesko SM, Mitchell AA. An assessment of the safety of pediatric ibuprofen: a practitioner-based randomized clinical trial. JAMA 1995;273(12):929-933
9. Kanabar DJ. A clinical and safety review of paracetamol and ibuprofen in children. Inflammopharmacology 2017;25(1):1-9
10. Sheth UK, Gupta K, Paul T, Pispati PK. Measurement of antipyretic activity of ibuprofen and paracetamol in children. J Clin Pharmacol 1980;20(11):672-675
11. Tan E, Braithwaite I, McKinlay C, Dalziel S. Comparison of Acetaminophen (Paracetamol) With Ibuprofen for Treatment of Fever or Pain in Children Younger Than 2 Years. JAMA Netw Open. 2020;3(10):e2022398
12. Vinh H, Parry CM, Hanh VT, Chinh MT, House D, Tham CT, Thao NT, Diep TS, Wain J, Day NP, White NJ, Farrar JJ. Double blind comparison of ibuprofen and paracetamol for adjunctive treatment of uncomplicated typhoid fever. Pediatr Infect Dis J 2004;23(3):226-230
13. Nurofen for children SmPC https://www.medicines.org.uk/emc/product/396
14. Bjarnason I. Gastrointestinal safety of NSAIDs and over-the-counter analgesics. Int J Clin Pract Suppl 2013;67(178):37-42
15. https://www.nhs.uk/conditions/chickenpox/
16. Southey ER, et al. Curr Med Res Opin 2009;25:2207–22.
17. Lesko SM, Mitchell AA. The safety of acetaminophen and ibuprofen among children younger than two years old. Pediatrics. 1999 Oct;104(4):e39.
Online references last accessed November 2022
Name and active: Nurofen for Children Strawberry 3 months to 12 years. Ibuprofen 100mg/5ml (2.0%w/v) Oral suspension. Therapeutic indications: Prescription only: For symptomatic treatment of Juvenile Rheumatoid Arthritis. Prescription and OTC: For the fast and effective reduction of fever, including post immunisation pyrexia and the fast and effective relief of the symptoms of colds and influenza and mild to moderate pain, such as a sore throat, teething pain, toothache, earache, headache, minor aches and sprains. Posology and Administration: For oral administration. For short term use only. Use the lowest effective dose for the shortest duration necessary to control symptoms. For patients with sensitive stomachs the product can be taken with or after food. For children between 3 months and 12 years of age. The recommended daily dose is 20–30 mg per kg of body weight, divided into equal doses, with dosing intervals of 6-8 hours (see the pack for detail). Leave at least 4 hours between doses. Do not take more than the recommended dose in 24 hours. Do not exceed the recommended dose. Not suitable for children under 3 months of age unless advised by a doctor. Do not use this product in children weighing less than 5 kg. For infants aged 3-6 months ask for medical advice if symptoms worsen or not later than 24 hours if symptoms persist. If in children from 6 months this medicinal product is required for more than 3 days, or if symptoms worsen, consult a doctor. For children under 6 months ask for medical advice after 24 hours use (3 doses) if the symptoms persist. Special patient groups: children with Juvenile Rheumatoid Arthritis: The usual daily dose of 30 to 40 mg per kg of body weight, in three to four divided doses may be taken. Post-immunisation pyrexia: One 2.5 ml dose followed by one further 2.5 ml dose 6 hours later if necessary. Do not exceed two 2.5ml doses in 24 hours. If the fever is not reduced, consult a doctor. Contraindication: Hypersensitivity to ibuprofen or to any of the excipients. History of hypersensitivity reactions in response to ibuprofen, acetylsalicylic acid or other NSAIDs. Active or a history of recurrent peptic ulcer/haemorrhage (two or more distinct episodes of proven ulceration or bleeding). History of gastrointestinal bleeding or perforation, related to previous NSAIDs therapy. Severe hepatic failure, renal failure or heart failure. Last trimester of pregnancy. Precautions and warnings: Do not give this product if the child is under 3 months old or weighs less than 5 kg; has (or has had two or more episodes of) a stomach ulcer, perforation or bleeding; is allergic to ibuprofen or any other ingredient of the product, aspirin or other related painkillers, or fructose; is taking other NSAID painkillers, or aspirin with a daily dose above 75mg. Consult a doctor or pharmacist before use for someone who has or had asthma, diabetes, high cholesterol, high blood pressure, a stroke, heart, liver, kidney or bowel problems; is dehydrated; has chicken pox; smokers; pregnant, breastfeeding or women trying to get pregnant; elderly. You must consult a doctor if symptoms persist or worsen, or if the medicine is needed for more than 24h for a child of 3 to 6 months, or for more than 3 days for a child over 6 months. Contains Maltitol Liquid. Side effects: Blood and Lymphatic System Disorders including Haematopoietic disorders, anaemia, leucopenia, thrombocytopenia, pancytopenia and agranulocytosis; Immune System Disorders including hypersensitivity with urticaria and pruritus, severe hypersensitivity reactions, including facial, tongue and throat swelling, dyspnoea, tachycardia, and hypotension (anaphylaxis, angioedema or severe shock); Nervous System Disorders including headache, aseptic meningitis, cardiac disorders including hypertension, Respiratory, Thoracic and Mediastinal Disorders including Respiratory tract reactivity comprising asthma, bronchospasm or dyspnoea; Gastrointestinal Disorders including abdominal pain, nausea and dyspepsia, diarrhoea, flatulence, constipation and vomiting, peptic ulcer, gastrointestinal perforation or gastrointestinal haemorrhage, melaena, and haematemesis, mouth ulceration and gastritis, exacerbation of colitis and Crohn's disease; Hepatobiliary Disorders including liver disorders; Skin and Subcutaneous Tissue Disorders including skin rash, Bullous reactions, including Stevens-Johnson Syndrome, erythema multiforme and toxic epidermal necrolysis, Drug reaction with eosinophilia and systemic symptoms (DRESS syndrome); Renal and Urinary Disorders including Acute renal failure, papillary necrosis, especially in long-term use, associated with increased serum urea and oedema Investigations including haemoglobin decreased; Infections and infestations including exacerbation of infections related inflammation has been described, in exceptional cases, severe skin infections and soft-tissue complications may occur during a varicella infection. Legal category: P. Product licence Numbers: PL 00063/0665. Licence Holder: Reckitt Benckiser Healthcare (UK) Limited HU8 7DS. Last revision of SmPC: May 2018. RRP: £7.49 200 ml, £3.99 100ml
For full information refer to: https://www.medicines.org.uk/emc/product/393/smpc